[Congenital heart disease having left to right shunts combined with pulmonary hypertension].

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A large population of patients with congenital heart disease with relevant systemic to pulmonary shunts( left to right shunts) will develop pulmonary arterial hypertension if left untreated. There are 2 different statuses of an increase in pulmonary arterial pressure. One is high resistance due to high pulmonary blood flow( high flow with high resistance), another one is low pulmonary flow due to high resistance( low flow with high resistance). Chronic large left-to-right shunt induced severe pulmonary vascular disease and pulmonary hypertension. This was then subsequence of low pulmonary blood flow with high pulmonary vascular resistance. We have to avoid this situation and have to do intervention while the pulmonary vascular reactivity has been left. Therefore accurate diagnosis, preoperative treatment for avoidance of high flow, appropriate timing of interventions and post operative various managements are important factors as aiming of low pulmonary resistance in this group. It is important to be familiar with.

Original languageEnglish
Pages (from-to)660-664
Number of pages5
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume65
Issue number8
Publication statusPublished - Jul 2012

Fingerprint

Pulmonary Hypertension
Heart Diseases
Lung
Vascular Diseases
Vascular Resistance
Lung Diseases
Blood Vessels
Arterial Pressure
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{e501b5f6aa884a8187aa3051b701fc2e,
title = "[Congenital heart disease having left to right shunts combined with pulmonary hypertension].",
abstract = "A large population of patients with congenital heart disease with relevant systemic to pulmonary shunts( left to right shunts) will develop pulmonary arterial hypertension if left untreated. There are 2 different statuses of an increase in pulmonary arterial pressure. One is high resistance due to high pulmonary blood flow( high flow with high resistance), another one is low pulmonary flow due to high resistance( low flow with high resistance). Chronic large left-to-right shunt induced severe pulmonary vascular disease and pulmonary hypertension. This was then subsequence of low pulmonary blood flow with high pulmonary vascular resistance. We have to avoid this situation and have to do intervention while the pulmonary vascular reactivity has been left. Therefore accurate diagnosis, preoperative treatment for avoidance of high flow, appropriate timing of interventions and post operative various managements are important factors as aiming of low pulmonary resistance in this group. It is important to be familiar with.",
author = "Shingo Kasahara",
year = "2012",
month = "7",
language = "English",
volume = "65",
pages = "660--664",
journal = "Japanese Journal of Thoracic Surgery",
issn = "0021-5252",
publisher = "Nankodo Co., Ltd.",
number = "8",

}

TY - JOUR

T1 - [Congenital heart disease having left to right shunts combined with pulmonary hypertension].

AU - Kasahara, Shingo

PY - 2012/7

Y1 - 2012/7

N2 - A large population of patients with congenital heart disease with relevant systemic to pulmonary shunts( left to right shunts) will develop pulmonary arterial hypertension if left untreated. There are 2 different statuses of an increase in pulmonary arterial pressure. One is high resistance due to high pulmonary blood flow( high flow with high resistance), another one is low pulmonary flow due to high resistance( low flow with high resistance). Chronic large left-to-right shunt induced severe pulmonary vascular disease and pulmonary hypertension. This was then subsequence of low pulmonary blood flow with high pulmonary vascular resistance. We have to avoid this situation and have to do intervention while the pulmonary vascular reactivity has been left. Therefore accurate diagnosis, preoperative treatment for avoidance of high flow, appropriate timing of interventions and post operative various managements are important factors as aiming of low pulmonary resistance in this group. It is important to be familiar with.

AB - A large population of patients with congenital heart disease with relevant systemic to pulmonary shunts( left to right shunts) will develop pulmonary arterial hypertension if left untreated. There are 2 different statuses of an increase in pulmonary arterial pressure. One is high resistance due to high pulmonary blood flow( high flow with high resistance), another one is low pulmonary flow due to high resistance( low flow with high resistance). Chronic large left-to-right shunt induced severe pulmonary vascular disease and pulmonary hypertension. This was then subsequence of low pulmonary blood flow with high pulmonary vascular resistance. We have to avoid this situation and have to do intervention while the pulmonary vascular reactivity has been left. Therefore accurate diagnosis, preoperative treatment for avoidance of high flow, appropriate timing of interventions and post operative various managements are important factors as aiming of low pulmonary resistance in this group. It is important to be familiar with.

UR - http://www.scopus.com/inward/record.url?scp=84871671848&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871671848&partnerID=8YFLogxK

M3 - Article

VL - 65

SP - 660

EP - 664

JO - Japanese Journal of Thoracic Surgery

JF - Japanese Journal of Thoracic Surgery

SN - 0021-5252

IS - 8

ER -